How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $2.45 Median $2.45 Typical High $3.16 | Facility | None | $2.45 | $2.45 | $3.16 |
Aetna Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $3.16 | Professional | None | $2.45 | $2.45 | $3.16 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $3.16 | Professional | None | $2.40 | $2.40 | $3.16 |
CareFirst Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.24 | Professional | None | $3.09 | $3.09 | $3.24 |
Cigna Setting Facility Modifier None Typical Low $2.57 Median $2.57 Typical High $2.57 | Facility | None | $2.57 | $2.57 | $2.57 |
Cigna Setting Professional Modifier None Typical Low $1.91 Median $2.19 Typical High $2.19 | Professional | None | $1.91 | $2.19 | $2.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.31 Median $3.98 Typical High $5.89 | Professional | None | $3.31 | $3.98 | $5.89 |
Medcost Setting Professional Modifier None Typical Low $2.95 Median $3.31 Typical High $4.57 | Professional | None | $2.95 | $3.31 | $4.57 |
Medcost Setting Facility Modifier None Typical Low $1.38 Median $2.14 Typical High $3.31 | Facility | None | $1.38 | $2.14 | $3.31 |
Medcost Setting Professional Modifier None Typical Low $2.14 Median $2.75 Typical High $3.02 | Professional | None | $2.14 | $2.75 | $3.02 |
Sentara Setting Facility Modifier None Typical Low $2.00 Median $2.95 Typical High $8.71 | Facility | None | $2.00 | $2.95 | $8.71 |
Sentara Setting Professional Modifier None Typical Low $2.57 Median $3.16 Typical High $6.46 | Professional | None | $2.57 | $3.16 | $6.46 |
United Setting Professional Modifier None Typical Low $1.78 Median $2.19 Typical High $3.39 | Professional | None | $1.78 | $2.19 | $3.39 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.37 Median $0.37 Typical High $0.47 | Professional | 55 · Aftercare only | $0.37 | $0.37 | $0.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.24 Median $0.24 Typical High $0.31 | Professional | 56 · Pre-op care only | $0.24 | $0.24 | $0.31 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.24 Median $0.24 Typical High $0.30 | Professional | RR · Rental | $0.24 | $0.24 | $0.30 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.74 Median $1.78 Typical High $1.86 | Professional | UE · Used equipment | $1.74 | $1.78 | $1.86 |
Where Virginia sits
The same service costs 2.5 times more in Hawaii than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Virginia· 30th of 51
$2.45
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.